Takayasu's disease presenting with atherothrombotic ischaemic stroke.
Takayasu's arteritis is a chronic inflammatory disease of the aorta and its main branches, and a well known cause of stroke. Pathogenesis of ischaemic stroke has been attributed to intracranial vasculitic involvement or emboli from either stenoocclusive extracranial vessels or cardiac disease such as aortic regurgitation. We present a patient with Takayasu's arteritis and recurrent cerebral infarctions associated with intracranial atherosclerosis. We postulate that the intracranial atherosclerotic process is an important mechanism in Takayasu's arteritis-related ischaemic stroke.
Park
Key-Chung
KC
Department of Neurology, Kyung Hee Medical Center, Kyung Hee University School of Medicine, 1 Hoegi-dong, Dongdaemoon-ku, Seoul, Korea. kcpark67@medimail.co.kr
Kim
Jung-Hwa
JH
Yoon
Sung-Sang
SS
Heo
Sung-Hyuk
SH
D002544:Cerebral Infarction / Q000150:complications* / Q000175:diagnosis; D005260:Female; D006801:Humans; D002537:Intracranial Arteriosclerosis / Q000150:complications* / Q000175:diagnosis; D018810:Magnetic Resonance Angiography / Q000379:methods; D008875:Middle Aged; D020521:Stroke; D013625:Takayasu Arteritis / Q000150:complications* / Q000175:diagnosis; D018608:Ultrasonography, Doppler / Q000379:methods